In a message dated 95-07-02 06:34:23 EDT, a prior communication was quoted:
>>house of Medicine) overuse antibiotics in the outpatient setting, and we
>>are/will continue to pay for the indiscretion.
There is clealry some truth to this; However, this arguement has been known
and used for at least ten to fifteen years, with little change in our
practice. Maybe it would be more productive to focus on the types of
antibiotics used; ie: use cheaper, "simpler", antibiotics (such as PEN and
AMOX) more liberally, and save these "big guns" for children - and adults -
who are very sick. In our ED, we use antibiotics fairly liberally, but
certain drugs - such as imepenam (sorry if I misspelled; I don't write for
it) - are NEVER used.
Any thoughts ?
Joseph J Sachter, MD, FACEP ([log in to unmask])
The Brooklyn Hospital Center